What Is The Difference Between Korotokoff Sound And Dub Sounds

a. Where on the thoracic surface do you auscultate to the tricuspid, mitral (bicuspid), pulmonary, and aortic valves? Auscultation for the tricuspid valve would be in the left sternal margin of the 5th intercostal space. The mitral valve sounds are heard over the apex of the heart (5th intercostal space) in line with the middle of the clavicle. Pulmonary valve sounds are auscultated at the 2nd intercostal space at the left sternal margin. The aortic valve is heard at the 2nd intercostal space of the right sternal margin.

Early doctors were researching arrhythmia in heart beat as a result of unknown abnormal neuro-cardio mechanisms of the heart, one of theories was that SA and AV nodes were interfering with each other’s bio-electrical impulses another theory was that the right side of the septum was hypersensitive to electrical impulse, all were more else on the right track because we know now that SVT is a result of a faulty electrical connections of the heart.

Inside the heart the four chambers were clearly defined and hollow. The wall on the left side of the heart was much thicker and firmer than the wall on the right side. The wall on the right side was very thin. The valves appeared stringy, stretchy and very long.

The Korotkoff sound is constantly monitored as the cuff continues to be deflated slowly until the pulse sounds have disappeared. Then the fifth Korotkoff sound was recorded as the diastolic BP after another 10 to 20 mmHg the cuff may be completely deflated to avoid limb compression. After the procedure is complete the patient should be informed and left comfortable; the results must be explained and documented.

A 30cm piece of thread was placed around the heart at the Atrioventricular groove (AV groove) and tied in a knot but left loose so as to not interrupt the normal function of the heart. The heart was allowed to beat for about 15 seconds with no pressure. After 15 seconds the knot was slowly tightened while taking care to stay on the AV groove while tightening. Data was observed and recorded.

The effects of a ligature around the AV groove presented no difference in the contraction of atria or ventricle after the first tightening. After the string was tightened further, the ventricular contractions were lost and the atria beat alone at 60 BPM. The AV signal between the chambers was blocked.

In a normal human being the heart correctly functions by the blood first entering through the right atrium from the superior and inferior vena cava. This blood flow continues through the right atrioventricular valve into the right ventricle. The right ventricle contracts forcing the pulmonary valve to open leading blood flow through the pulmonary valve and into the pulmonary trunk. Blood is then distributed from the right and left pulmonary arteries to the lungs, where carbon dioxide is unloaded and oxygen is loaded into the blood. The blood is returned from the lungs to the left

R E V I E W S H E E T 30 Anatomy of the Heart

Oxygen and nutrients the body requires for function are pumped around this complex network of blood vessels by the heart. At roughly the size of a human fist, the heart is a four-chambered muscle and performs two functions of circulation simultaneously and continuously. Systemic and pulmonary circulation. The heart is made up from three separate layers of cardiac tissue; the outer layer called the pericardium, which is a double sac-like outer covering with serous fluid inside to keep the middle layer, the myocardium from adhering to the outer layer. This middle layer of the heart is the heart muscle which is thicker on the left side, to aid with the pressure needed to sustain systemic circulation. The inner layer of the heart is the endocardium. It’s lining is smooth to help prevent the blood which circulates around the inside of the heart from clotting. The heart is the human body’s in-built pacemaker, and the electrical signals sent through the it cause the heart to contract and relax. This process is triggered by the autonomic nervous system and the contraction and relaxing cycle is

There are two types of artificial hearts, the first being a pump that is connected to the patient’s circulatory system; it maintains life when the patient’s heart is stopped for the surgeons to be able to operate on the heart. The second type is a self-contained mechanical heart that sits completely in the patient’s chest cavity. This second type of heart is known as a “VAD” pump which pumps blood from the left ventricle to the aorta. Most mechanical hearts use a centrifugal pump, which is quieter, uses less energy and lasts longer than the piston type mechanical hearts. The centrifugal pump produces a constant flow of blood around the body; therefore the patient will not have a

The atrial contraction is represented by the P wave. This is an upward, or positive wave of the line on the graph. The ventricular contraction is displayed by the QRS complex. The QRS

The S-A node signal is delayed by the atrioventricular node to allow the full contraction of the atria that allows the ventricles to reach their maximum volume. A sweeping right to left wave of ventricular contraction then pumps blood into the pulmonary and systemic circulatory systems. The semilunar valves that separate the right ventricle from the pulmonary artery and the left ventricle from the aorta open shortly after the ventricles begin to contract. The opening of the semilunar valves ends a brief period of isometric (constant volume) ventricular contraction and initiates a period of rapid ventricular ejection.

Percuss at the anterior axillary line and continue toward the sternum along the fifth intercostal space. The sound changes from resonance to dullness over the left border of the heart, normally at the midclavicular line. Percussing is used to help locate cardiac borders. It is important to know that the right border of the heart is usually aligned with the sternum and can't be

In the first part of the practical, we will dissect the heart of a sheep and observe its anatomical structure. We will also examine the structure of blood vessels at a microscopic level. My hypothesis is that by examining the anatomy of the cardiovascular system, we will be able to detect differences in both vessels and the chambers of the heart. In the second part of the practical we will examine the electrical activity of the heart. In doing so my aim will be to produce a familiar ECG reading containing a P wave, QRS complex and T wave. Futhermore, we will take blood pressure readings by listening to the korotkoff sounds of the heart using a sphygmomanometer and stethoscope. We hypothesis that the higher the arm position is from the ground, the smaller the blood pressure reading will

Surrounding each of these valves are dense fibrous rings or annuli made of connective tissue that forms the cardiac skeleton. The annuli of the aortic valve forms the base for the other annuli as it is located central to the other valves. Fibrous extensions from the annuli of the aortic valve extends outwardly and anchors the other three valves. In addition to the four annuli there are other fibrous components of the cardiac skeleton such as the right and left fibrous trigones, and the membranous septum. The right fibrous trigone is also know as the central